Healthcare Provider Details

I. General information

NPI: 1093709537
Provider Name (Legal Business Name): NORSTAR EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 05/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N PORTER AVE
NORMAN OK
73071-6404
US

IV. Provider business mailing address

PO BOX 269024
OKLAHOMA CITY OK
73126-9024
US

V. Phone/Fax

Practice location:
  • Phone: 405-307-1000
  • Fax:
Mailing address:
  • Phone: 405-759-7725
  • Fax: 405-759-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number StateOK

VIII. Authorized Official

Name: DALE ASKINS
Title or Position: PRESIDENT
Credential: D.O.
Phone: 405-378-2197